Pioneer by Americare

Nursing Home
Overview of Pioneer by Americare

Experience warm, devoted and personalized care at Pioneer, a reliable senior care provider in Marceline, MO, offering skilled nursing, rehabilitation, home care, and hospice care. Residents are guaranteed to recover quickly and get back to their routines with access to various therapies, including physical, occupational and speech therapy. The community utilizes a person-centered approach to care, offering residents a team of skilled nurses that provides specialized 24/7 medical services.

Residents can fully relax and enjoy a healing living space with an array of spacious and bright studio floor plans designed to accommodate various care needs. The community ensures residents still have access to a vibrant and active way of living as they recover with a wide array of interesting activities, community events, and health & wellness programs. Residents can look forward to meal time with exquisite menus that are thoughtfully prepared to satisfy residents’ tastes and nutrition needs.

(660) 376-2001

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
2/5
Missouri average: 2.5/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
3/5
Missouri average: 2.8/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
1/5
Missouri average: 2.2/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
4/5
Missouri average: 2.7/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
4h 5m per day

This home provides 9% more nursing time per resident than the state average.

Missouri average: 3h 44m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 17m per day 28m per day 41m per day
LPN / LVN Info Licensed Practical Nurse / Licensed Vocational Nurse hours per resident per day. 48m per day 41m per day 52m per day
Nurse Aide Info Nurse aide hours per resident per day. 2h 3m per day 2h 20m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 2h 34m per day 3h 3m per day 3h 26m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 10m per day 20m per day 29m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 96

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Missouri average
Occupancy rate 54.5%
Residents per day (avg) 51
Occupancy rate
54.5%
Residents per day (avg)
51

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

40% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

38% of new residents, often for short stays.

Typical stay 3 - 4 months

Medicaid

22% of new residents, often for long-term daily care.

Typical stay 11 - 12 months

Finances and operations

Proprietary home
Corporation
Home revenue
$5.1M
Profit
$636.9K
Proprietary home Corporation
Home revenue
$5,065,108.00
Profit
$636,858.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.2M
42.9% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.3M
Total costs $4.4M

What does this home offer?

Pets allowed icon
Pets allowed icon

Pets Allowed: Yes, Pets Allowed

Room sizes icon
Room sizes icon

Room Sizes: 215 / 240 / 300 / 330 sq. ft.

Housing options icon
Housing options icon

Housing Options: Studio

Building type icon
Building type icon

Building Type: Single-story

Transportation services icon
Transportation services icon

Transportation Services

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Types of Care at Pioneer by Americare

Skilled Nursing Hospice Care
Contact Pioneer by Americare

Compare Nursing Homes around Moberly

The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Pioneer by Americare
SNF

Nursing Home 24/7 care needed

HC

Hospice Care

SN

Skilled Nursing

Marceline
96
Yes
4
PIONEER NURSING, LLC
54.5%
$5,062,313.00
$2,175,028.00
43%
50.60
2/5
4.0887
3/5
1/5
4/5
2
22
2
+6%
+9%
-18%
Studio

Places of interest near Pioneer by Americare

Address 50.5 miles from city center

Address 1500 S Kansas Ave, Marceline, MO 64658

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Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

108
Total Staff
93
Employees
15
Contractors
23,825
Total Hours (Quarter)
33
Avg Staff/Day
7.9
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse98.8 Yes
Licensed Practical Nurse179.9 Yes
Certified Nursing Assistant338.7 No
Staff by Category
Administration
1 staff
8hs shift avg
Nursing Staff
72 staff
9hs shift avg
Physicians & Practitioners
4 staff
7.7hs shift avg
Therapy Services
27 staff
5.9hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
1 staff
6.5hs shift avg
Dietary Services
1 staff
7.3hs shift avg
Other Services
2 staff
8.3hs shift avg
Contractor Analysis
7.2%
of total hours from contractors
1,716 contractor hours this quarter
Speech Language Pathologist: 3 Physical Therapy Aide: 2 Licensed Practical Nurse: 4 Qualified Social Worker: 1 Registered Nurse: 2 Physical Therapy Assistant: 1 Respiratory Therapy Technician: 2
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant330338,67191100%8.7
Physical Therapist190193,87691100%6.3
Licensed Practical Nurse134172,5639099%9.9
Medication Aide/Technician9091,92691100%10.4
Registered Nurse7291,0506470%8.8
RN Director of Nursing2028756066%8
Nurse Aide in Training2027816571%9.1
Speech Language Pathologist0334926774%6.6
Physical Therapy Aide0224816875%6.3
Administrator1014725965%8
Other Dietary Services Staff1014706470%7.3
Mental Health Service Worker1014605055%9.2
Dental Services Staff1014465965%7.6
Qualified Social Worker0114266673%6.5
Clinical Nurse Specialist3034195358%7.6
Nurse Practitioner1013124044%7.8
Physical Therapy Assistant011813943%2.1
Respiratory Therapy Technician022243336%0.7

Health Inspection History

Inspections
Total health inspections 5

Missouri average 6.6


Last Health inspection on Mar 2025

Total health citations 22
Citations per inspection
4.4

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

17 of 22 citations resulted from standard inspections; and 5 of 22 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 1
43% worse than Missouri average

Missouri average: 0.7


Serious Health citations More info 1
In line with Missouri average

Missouri average: 1

1 critical citation More info Missouri average: 0.7

1 serious citation More info Missouri average: 1

20 moderate citations More info Missouri average: 33.6

0 minor citations More info Missouri average: 1.2
Citations history (last 3 years)
Infection Control moderate citation Mar 20, 2025
Corrected

Infection Control moderate citation Mar 20, 2025
Corrected

Nutrition moderate citation Mar 20, 2025
Corrected

Quality of Care moderate citation Mar 20, 2025
Corrected

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: For-Profit Corporation
Part of: AMERICARE SENIOR LIVING
Resident Census by Payment Source
47 Total Residents
Medicare 3 (6.4%)
Medicaid 22 (46.8%)
Private Pay/Other 22 (46.8%)
Programs & Services
Residents' Group
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 10.5
In line with Missouri average

Missouri average: 10.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 18.1
7% better than Missouri average

Missouri average: 19.5

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 17.8%
10% better than Missouri average

Missouri average: 19.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 17.2%
17% better than Missouri average

Missouri average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 19.3%
7% worse than Missouri average

Missouri average: 18.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 8.5%
110% worse than Missouri average

Missouri average: 4.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 1.8%
64% better than Missouri average

Missouri average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 3.3%
20% worse than Missouri average

Missouri average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.0%
26% worse than Missouri average

Missouri average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Missouri average

Missouri average: 12.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 17.4%
21% better than Missouri average

Missouri average: 22.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 87.8%
In line with Missouri average

Missouri average: 85.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 89.1%
In line with Missouri average

Missouri average: 90.9%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.32
37% better than Missouri average

Missouri average: 2.08

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 2.15
9% better than Missouri average

Missouri average: 2.35

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 58.4%
12% worse than Missouri average

Missouri average: 66.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.5%
35% better than Missouri average

Missouri average: 2.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 30.0%
53% worse than Missouri average

Missouri average: 63.5%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 22.3%
12% better than Missouri average

Missouri average: 25.3%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 9.1%
32% better than Missouri average

Missouri average: 13.4%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Missouri average

Missouri average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 53.6%
In line with Missouri average

Missouri average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 63.1%
25% better than Missouri average

Missouri average: 50.6%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $77K
5% higher than Missouri average

Missouri average: $73K

Number of fines 2
18% fewer fines than Missouri average

Missouri average: 2.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Missouri average

Missouri average: 0.7

Fines amount comparison
Fines amount comparison
This facility $77K
Missouri average $73K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jun 13, 2023
$47K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 26, 2023
$29K

Last updated: Jan 2026

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Financial Aid for Missouri Seniors

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Aged and Disabled Waiver

Missouri Medicaid A&D Waiver

Age 65+ or disabled, Missouri resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural access prioritized.

Missouri Supplemental Nursing Care (SNC)

MO SNC

Age 65+, Missouri resident, in approved facility.

~$1,215/month (individual).

$2,000 (individual).

Supplements SSI; facility-based only.

Structured Family Caregiving Waiver (SFCW)

Missouri Structured Family Caregiving Waiver

Age 65+, Missouri resident, MO HealthNet-eligible, NFLOC, dementia diagnosis, live with caregiver.

~$2,901/month (300% FBR, individual); QIT required.

$5,909.25 (individual), $11,818.45 (couple).

Caregiver must be family; small program size.

MO HealthNet Aged, Blind, and Disabled (ABD)

Missouri MO HealthNet ABD

Age 65+ or disabled, Missouri resident, MO HealthNet-eligible, needs help with 1+ ADL.

~$1,690/month (individual, projected); spenddown allowed.

$5,909.25 (individual), $11,818.45 (couple).

Less intensive than waivers; statewide access.

Medicare Savings Program (MSP)

Missouri Medicare Savings Program

Age 65+ or disabled, Missouri resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; includes Extra Help for Part D.

Missouri Caregiver Program (Customized Caregiver Training & Relief)

Missouri Caregiver Program

Caregivers of 60+ with dementia, Missouri resident, functional needs (2+ ADLs).

No strict cap; prioritizes low-income (~$24,980/year individual).

Not assessed; need-based.

Administered via AAAs and Alzheimer’s Association; rural focus.

Senior Community Service Employment Program (SCSEP)

Missouri SCSEP

Age 55+, unemployed, low-income, Missouri resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Missouri VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Missouri resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural/urban areas.

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